Individual
GABRIELLE RENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4117 LAS COLINA DR, FORT WORTH, TX 76179-1870
(817) 689-4219
Mailing address
4117 LAS COLINA DR, FORT WORTH, TX 76179-1870
(817) 689-4219
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
67172
TX
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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